Individual
PATRICIA M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 N SEMINARY ST, GALESBURG, IL 61401-1251
(309) 344-3161
(309) 344-9498
Mailing address
3333 N SEMINARY ST, GALESBURG, IL 61401-1251
(309) 344-3161
(309) 344-9498
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041366087
IL
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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